Records Clerk, Sr. locates and retrieves company records as requested. Follows verification procedures and prepares records for archiving. Being a Records Clerk, Sr. inventories records stored and may assist in the destruction of records. Requires a high school diploma. Additionally, Records Clerk, Sr. typically reports to a supervisor. The Records Clerk, Sr. gains or has attained full proficiency in a specific area of discipline. Works under moderate supervision. To be a Records Clerk, Sr. typically requires 1-3 years of related experience or may have 0 years of experience plus an associates degree, or additional training, or certification. (Copyright 2024 Salary.com)
Duties:
· Maintains accurate order of open charts;
· Types physician’s orders/transcriptions as needed;
· Prepares closed charts;
· Assumes responsibility for diagnostic admission and discharge coding index;
· Ensures that all Admission Orders are signed by the attending physician in a timely manner;
· Ensures all Medicare Certifications and Re-certifications are signed in a timely manner;
· Notifies MDs in reference to compliance of resident visits and progress notes;
· Communicates with Pharmacy in reference to additions/deletions of resident MARs, POSs;
· Assists nursing staff withmonthly editing;
· Initiates yearly flu/pneumonia vaccine program and maintains accurate record keeping;
· Answers telephone inquires and may answer correspondence;
· Performs miscellaneous duties pertaining to medical records;
· Writes, types and distributes advance notices for admissions, re-admissions, room changes, any status changes, discharges, etc. to appropriate facility staff;
· Obtains all appropriate departmental and physicians’ signatures on discharge charts within 30 days of discharge;
· Performs other duties as requested.
· Report any occupational exposures to blood, body fluids, infectious materials, and or hazardous chemicals in accordance with facility policy;
· Report work related injuries and illnesses immediately to your supervisor;
· As a condition of employment, complete all assigned training and skills competency;
· Participate in all life safety and emergency drills and trainings;
· Fulfill responsibilities as assigned during implementation or activation of the facility’s emergency plan;
· Assists with evacuation of residents in an emergency situation;
· Maintain confidentiality of Protected Health Information, including verbal, written and electronic communications;
· Report non-compliance with policies, procedures, regulations or breaches in confidentiality to appropriate personnel.
· Protect residents from abuse, and cooperate with all investigations;
· Report any allegations of abuse, neglect, misappropriation of property, exploitation, or mistreatment of residents to supervisor and/or administrator;
· Report any retaliation or discrimination to the Human Resource Director and the Compliance Officer;
· Fulfill individual responsibility to report any suspicion of a crime to law enforcement and the state agency;
Job Type: Full-time
Benefits:
Schedule:
Experience:
Work Location: In person
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